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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73303/psn-pdf
    May 26, 2021 - Safety Culture in EMS May 26, 2021 Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/safety-culture-ems Defining a Just Culture A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an environmen…
  2. psnet.ahrq.gov/primer/reporting-patient-safety-events
    March 30, 2022 - Reporting Patient Safety Events Citation Text: Reporting Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
  3. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.37_slideshow.ppt
    November 01, 2003 - Spotlight Case [MONTH] 2003 Spotlight Case November 2003 The Missing Suction Tip Source and Credits This presentation is based on the Nov. 2003 AHRQ WebM&M Spotlight Case in Surgery See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Eric J. Thomas, MD,…
  4. psnet.ahrq.gov/primer/teamwork-training
    September 15, 2024 - Teamwork Training Citation Text: Teamwork Training. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73657/psn-pdf
    September 01, 2021 - Communication failures contributing to patient injury in anaesthesia malpractice claims. September 1, 2021 Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016/j.bja.2021.05.030. https://ps…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855001/psn-pdf
    November 01, 2023 - Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders. November 1, 2023 Gilbert R, Asselbergs M, Davis D, et al. Healthcare Excellence Canada; 2023. https://psnet.ahrq.gov/issue/rethinking-patient-safety-discussion-guide-patients-healthcare-providers-and- leaders Patient saf…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46802/psn-pdf
    March 21, 2018 - The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. March 21, 2018 Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam Med. 2018;31(1):113-125. doi:10.31…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847043/psn-pdf
    April 05, 2023 - An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. April 5, 2023 Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. doi:10.1016/j.ijmedinf.2023.105038. …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74273/psn-pdf
    January 19, 2022 - Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. January 19, 2022 Washington, DC: United States Government Accountability Office; November 30, 2021. Publication GAO- 22-105142. https://psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-ad…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47553/psn-pdf
    July 10, 2019 - Delivering high reliability in maternity care: in situ simulation as a source of organisational resilience. July 10, 2019 Macrae C, Draycott T. Delivering high reliability in maternity care: In situ simulation as a source of organisational resilience. Safety Sci. 2019;117:490-500. doi:10.1016/j.ssci.2016.10.019. h…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838133/psn-pdf
    January 01, 2023 - Nurse managers' leadership, patient safety, and quality of care: a systematic review. September 21, 2022 Lee SE, Hyunjie L, Sang S. Nurse managers' leadership, patient safety, and quality of care: a systematic review. West J Nurs Res. 2023;45(2):176-185. doi:10.1177/01939459221114079. https://psnet.ahrq.gov/issue/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844057/psn-pdf
    February 08, 2023 - Impact of medical education on patient safety: finding the signal through the noise. February 8, 2023 Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. https://psnet.ahrq.gov/issue/impact-medical-edu…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73689/psn-pdf
    September 08, 2021 - Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. September 8, 2021 Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a person?centred perspective: a literature review. J Nurs Manag. 2021;…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854389/psn-pdf
    October 11, 2023 - Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. October 11, 2023 Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;142(3):481-492. doi:10.1097/aog.0000000000005304. https://…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46487/psn-pdf
    May 16, 2018 - High Reliability for a Highly Unreliable World: Preparing for Code Blue Through Daily Operations in Healthcare. May 16, 2018 van Stralen D, Byrum SL, Inozu B. North Charleston, SC: CreateSpace Publishing; 2018. ISBN: 1974506371. https://psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-b…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856636/psn-pdf
    January 01, 2024 - Public opinion of resident physician work hours in 2022. November 29, 2023 Weaver MD, Barger LK, Sullivan JP, et al. Public opinion of resident physician work hours in 2022. Sleep Health. 2024;10(1supp):s194-s200. doi:10.1016/j.sleh.2023.08.016. https://psnet.ahrq.gov/issue/public-opinion-resident-physician-work-ho…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72844/psn-pdf
    March 17, 2021 - Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial. March 17, 2021 Dryver E, Lundager Forberg J, Hård af Segerstad C, et al. Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled tri…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43200/psn-pdf
    May 21, 2014 - How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. May 21, 2014 Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115. https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865480/psn-pdf
    April 03, 2024 - A narrative review of the well-being and burnout of U.S. community pharmacists. April 3, 2024 Wash A, Moczygemba LR, Brown CM, et al. A narrative review of the well-being and burnout of U.S. community pharmacists. J Am Pharm Assoc (2003). 2023;64(2):337-349. doi:10.1016/j.japh.2023.11.017. https://psnet.ahrq.gov/i…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44916/psn-pdf
    June 01, 2016 - Implementing situation-background-assessment- recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. June 1, 2016 Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation-background-assessment- recommend…

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